| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $915.21 | $6,262.70 | $16,467.00 | |
BCBS
| Facility | $3,448.56 | $7,168.58 | $12,337.09 | |
Medcost
| Facility | $732.05 | $994.52 | $1,642.58 | |
United
| Facility | $2,155.00 | $12,798.00 | $19,665.00 |